Abstract
In order to successfully manage the new Japanese Disease Management program, so called "Health checkups and healthcare advice with a particular focus on the metabolic syndrome program", it is essential to implement PDCA cycle into the system. This requires measurement for evaluation. According to our hearing of the eight advanced health insurance societies and two health support service providers, efficiency and continuity seem two key indices for a successful program. Most of the companies and municipal governments seem to pay little attention to these aspects, because of lack of PDCA cycle. It is indispensable to develop sets of indicators to evaluate efficiency and continuity in order to continuously improve the quality of health support activities.